作者: Jonathan P. Jarow
DOI: 10.1016/S0094-0143(21)00616-9
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摘要: SUMMARY Most urologists’ clinical experience is that infertility a rare presenting sign of life-threatening medical disorders in men. Considering the current practice infertile couples to gynecologist for initial evaluation and popularity assisted reproductive technology, many men are evaluated with semen analysis alone treatment instituted without urologic consultation. This may cause delay diagnosis significant illness or misdiagnosis potentially treatable male factor infertility. We reviewed records 1236 new patients Bowman Gray School Medicine Baylor Medical College an attempt determine frequency disease whether any pattern findings was predictive these disorders. Thirteen men, 1.1% total population, were found have upon full (Table 5). Testicular tumors six, spinal cord tumor one, brain three, genitourinary malformation two, chromosomal abnormality one. Interestingly, one physician bilateral testicular cancer who had abnormal undergone multiple cycles intrauterine insemination before referral. could not identify pathognomonic on would allow us predict presence illnesses 13 patients. Sperm counts ranged from azoospermic almost normal parameters. Therefore, we concluded potential symptom underlying pathology cannot be adequately screened by alone. All should undergo complete urologist.